JUNG WOOK KANG SMITH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****70

License Status

CANCELLED

Business

Title

First Name

JUNG

Middle

WOOK

Last Name

KANG SMITH

Business Name

JUNG WOOK KANG SMITH MD

Original Issue Date

09/12/2012

Effective Date

09/12/2012

Expiration Date

07/31/2014

City

EVANSVILLE

State

Zip

47712

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014